Individual
ANNIE ELIZABETH SEGREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW P014257
Contact information
Practice address
702 N QUEEN ST, DURHAM, NC 27701-2548
(919) 414-7966
Mailing address
702 N QUEEN ST, DURHAM, NC 27701-2548
(919) 414-7966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P014257
NC
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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